| NPI | 1710401708 |
|---|---|
| Doing Business As | FACT1 |
| Entity Type | Organization |
| Authorized Contact | JOHN HOGEBOOM President/CEO 480-831-7566 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: AZ OTC7924) |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services (Licence: AZ OTC7924) |
| 261QM0850X Clinic/Center, Adult Mental Health (Licence: AZ OTC7924) | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: AZ OTC7924) | |
| 251S00000X (Licence: AZ OTC7924) | |
| Enumeration Date | 2017-08-01 |
| Last Update Date | 2022-07-14 |